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Updated: Dec 28, 2025
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Predicting survival in infants born at <27 weeks gestation admitted to an all referral neonatal intensive care unit:
Nikou Pishevar1, Omid Fathi2,3, Carl H Backes1,2,3
1Center for Perinatal Research, Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Background:
There are no available predictive models for survival in extremely preterm (EP) infants admitted to a referral Level IV neonatal intensive care unit (NICU) after the first day of life (DOL).
Objective:
To determine if there are clinical variables present at admission that are associated with survival in an outborn EP population.
Study Design:
Data were analyzed from EP infants admitted before DOL 100 from 2008 to 2016 (n = 744).
Results:
We found that prophylactic indomethacin (OR 1.98 (1.20-3.25) p = 0.007), admit DOL (OR 1.05 (1.02-1.08) p < 0.001), and birth in Franklin County, (OR 2.02 (95% CI, 1.04-3.90) p = 0.04) were all associated with survival. Using ROC analysis, the area under the curve for the provisional survival score was 0.69 (95% CI, 0.64-0.75; p < 0.0001).
Conclusions:
There are factors on admission to a referral Level IV NICU associated with survival in EP patients.
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